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Frequently Asked Questions

 
Q:

NPI, National Provider Identifier – The amount I was paid is for a different locator code than I intended the claim to be for, is this because of NPI?

A:

With NPI, the locator code is no longer entered on a claim; the locator code is derived from the 9-digit zip code entered on the claim. If a locator code could not be derived using the 9-digit zip code and the rate code is on file with 2 or more locator codes, the lowest amount available for the rate code was used. If this is an issue it should be resolved with the Medicaid Institutional Enrollment Unit.

 

Notes and Comments

Created:

July 17, 2008            

Last Modified:

July 17, 2008 
 
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